NBCE Part I study plan
NBCE Part I · Give each week a clear focus.
8 weeks · About 6 hours per week
General Anatomy & Spinal Anatomy
Label every major bone, fossa, foramen, and articulation of the axial and appendicular skeleton on a blank diagram from memory
Trace origin, insertion, action, and innervation for the major muscle groups of the upper limb, lower limb, and trunk
Map vertebral osteology segment by segment from C1 through the sacrum, distinguishing typical from atypical vertebrae
Define each spinal ligament and list the spinal curvatures with the structures that produce and maintain them
Your checkpoint
Closed-book labeling quiz: 40 structures on a blank skeleton plus 25 on a blank vertebral column diagram, scored at 85% or better with all misses rewritten correctly
Spinal Anatomy & Physiology
Trace each major ascending and descending spinal tract, stating its decussation level and the deficit produced by a lesion at that level
Describe the arterial supply of the spinal cord and predict the clinical consequence of occluding each named artery
Explain resting membrane potential, the phases of the action potential, and saltatory conduction without notes
Compare somatic and autonomic reflex arcs and map sympathetic and parasympathetic outflow levels to their target organs
Your checkpoint
Hand-drawn labeled cross-sections of the spinal cord at cervical, thoracic, and lumbar levels with 10 annotated pathways or structures each, corrected to 100%
Physiology & Chemistry
Summarize the cardiac cycle and pressure-volume loop, and list the determinants of cardiac output and stroke volume
Diagram each nephron segment and predict how ADH, aldosterone, and ANP change urine volume and concentration
Solve acid-base problems using Henderson-Hasselbalch and compensation rules, and classify each result as respiratory or metabolic
Apply the gas laws and Michaelis-Menten/Lineweaver-Burk kinetics to numerical problems
Your checkpoint
Timed 20-question problem set on acid-base, renal, and gas-law calculations scored at 80% or higher, with every missed item rewritten as a corrected explanation
Chemistry & Pathology
Distinguish organic functional groups and predict products of the major reaction classes: substitution, elimination, oxidation, and condensation
Outline glycolysis, the TCA cycle, and oxidative phosphorylation, naming rate-limiting enzymes and their regulators
Classify cell injury, necrosis subtypes, and apoptosis and match each to its underlying mechanism
Sequence the inflammatory response and phases of wound healing, naming the mediators active at each step
Your checkpoint
100-question cumulative timed exam over Domains 1-5, scored at 70% or higher overall and 65% or higher in every domain, with an error log sorted by domain
Pathology & Microbiology and Public Health
Differentiate the major pathologic processes - neoplasia, hemodynamic, immunologic, and genetic - by mechanism and morphology
Classify pathogenic bacteria by Gram stain, morphology, oxygen requirement, and key virulence factor
Contrast innate and adaptive immunity, name immunoglobulin classes and their functions, and match hypersensitivity types to examples
Interpret public health measures: incidence versus prevalence, sensitivity/specificity/predictive values, and the appropriate study design for an outbreak
Your checkpoint
A from-memory comparison table covering 60 organisms and 25 diseases, verified against notes with every discrepancy logged and corrected
Microbiology and Public Health & Physical Diagnosis
Identify high-yield viruses, fungi, and parasites along with the classic disease each produces
Summarize sterilization and disinfection levels and list the diseases that require public health reporting
Describe the sequence of a complete physical exam region by region using inspection, palpation, percussion, and auscultation
Interpret abnormal vital signs, heart and lung sounds, and abdominal findings, and list differential causes for each abnormality
Your checkpoint
A recorded 15-minute mock physical exam checked against a 50-item technique and interpretation rubric, scoring at least 90%
Physical Diagnosis & Neuromusculoskeletal Diagnosis (regional, orthopedic, neurologic)
Select and sequence the correct orthopedic test for each joint complaint and name the structure each test stresses
Perform a neurologic screen of dermatomes, myotomes, deep tendon reflexes, and pathologic reflexes and localize the lesion from the findings
Distinguish upper from lower motor neuron patterns and radicular from myelopathic presentations
Correlate 20 clinical vignettes to the most likely neuromusculoskeletal diagnosis
Your checkpoint
A self-written 25-item case-based quiz on regional orthopedic and neurologic diagnosis, answered closed-book at 80% or higher
General Anatomy & Spinal Anatomy & Physiology & Chemistry & Pathology & Microbiology and Public Health & Physical Diagnosis & Neuromusculoskeletal Diagnosis (regional, orthopedic, neurologic)
Re-answer every item from the error logs and justify why the correct answer is correct
Complete two full-length timed practice exams under test-day conditions
Rank all eight domains by practice-exam score and re-drill the two weakest for two hours each
Condense each domain into a single-page high-yield review sheet
Your checkpoint
Two completed full-length practice exams with a final domain-by-domain score sheet and eight one-page review sheets, one per domain
Milestones
Week 2: Recite or write the spinal cord tract map and blood supply from blank paper with no errors on decussation levels
Week 4: Score 70% or higher on the 100-question cumulative exam covering Domains 1-5, with no domain below 65%
Week 6: Complete the mock physical exam rubric at 90% or higher and self-rate microbiology recall at 70% or better on a 40-item rapid quiz
Week 8: Score 75% or higher on both full-length practice exams with no domain below 65%, and hold eight completed one-page review sheets